中华口腔医学研究杂志（电子版）
中華口腔醫學研究雜誌（電子版）
중화구강의학연구잡지（전자판）
CHINESE JOURNAL OF STOMATOLOGICAL RESEARCH(ELECTRONIC VERSION)
2015年
2期
91-94
,共4页
婴幼儿血管瘤%普萘洛尔%噻吗洛尔%脉冲染料激光
嬰幼兒血管瘤%普萘洛爾%噻嗎洛爾%脈遲染料激光
영유인혈관류%보내락이%새마락이%맥충염료격광
Infantile hemangioma%Propranolol%Timolol%Pulsed dye laser
婴幼儿血管瘤（IH）是儿童最常见的良性血管肿瘤。近年来，随着医疗技术的进步和对IH病因与发病机制的深入了解，IH的治疗理念与方法已经发生了很大转变，主要表现在变“等待观察”为积极干预，强调循序渐进和个体化治疗；药物治疗首选普萘洛尔，激光治疗仅限于处理表浅血管瘤、溃疡病灶和消退期遗留的毛细血管扩张；手术主要用于切除消退期或治疗后残存的病变，如瘢痕、皮肤凹陷、臃余皮肤、纤维脂肪残留物等。
嬰幼兒血管瘤（IH）是兒童最常見的良性血管腫瘤。近年來，隨著醫療技術的進步和對IH病因與髮病機製的深入瞭解，IH的治療理唸與方法已經髮生瞭很大轉變，主要錶現在變“等待觀察”為積極榦預，彊調循序漸進和箇體化治療；藥物治療首選普萘洛爾，激光治療僅限于處理錶淺血管瘤、潰瘍病竈和消退期遺留的毛細血管擴張；手術主要用于切除消退期或治療後殘存的病變，如瘢痕、皮膚凹陷、臃餘皮膚、纖維脂肪殘留物等。
영유인혈관류（IH）시인동최상견적량성혈관종류。근년래，수착의료기술적진보화대IH병인여발병궤제적심입료해，IH적치료이념여방법이경발생료흔대전변，주요표현재변“등대관찰”위적겁간예，강조순서점진화개체화치료；약물치료수선보내락이，격광치료부한우처리표천혈관류、궤양병조화소퇴기유류적모세혈관확장；수술주요용우절제소퇴기혹치료후잔존적병변，여반흔、피부요함、옹여피부、섬유지방잔류물등。
Infantile hemangiomas (IHs) are the most common benign vascular tumors in infancy , occurring in 10% of full term babies and up to 25% of premature babies. In recent years, with the progress of medical technology and in depth understanding of the etiology and pathogenesis of IHs , the treatment algorithm and methods for infantile hemangiomas have been greatly changed . There is a general agreement that IHs should be treated in the early phase rather than wait and see . The treatment should be gradually advanced from non- or minimally invasive to invasive and meanwhile individualized . Oral propranolol has become the first-line treatment choice of IHs . Laser therapy is limited to treat superficial hemangiomas, ulcerated hemangiomas and residual skin telangiectasias. Surgery is mainly used to correct residual lesions after self-involution or various treatments, including residual scarring, permanent disfigurement, redundant or loose skin, and fibro-fatty residuum.
